TATYANA TATARO D.D.S.
NPI 1225339823
Dentist - General Practice in San Jose, CA

Active since November 12, 2010
4625 SAPA CT, SAN JOSE, CA 95136(408) 693-4882 Get Directions Write a Review

NPPES record last updated: February 20, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Tatyana Tataro D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TATYANA TATARO D.D.S. (NPI 1225339823) is an individual general practice provider in San Jose, California, licensed in California (59966) and active in the NPI registry since November 2010.

NPPES Registry Identity

NPI1225339823
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameTATYANA TATAROCredential: D.D.S.
Location Address4625 SAPA CTSan Jose, CA 95136-2688
Mailing Address4625 Sapa CtSan Jose, CA 95136-2688 · (408) 693-4882
Sole ProprietorNo
Enumeration DateNovember 12, 2010
Last NPPES UpdateFebruary 20, 2020
NPI 1225339823 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in CA · 59966
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Also ListedDentistTaxonomy 122300000X · License 59966 (CA)
4625 SAPA CT, San Jose, CA 95136

Accepted Insurance

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1225339823, enumerated as an "individual" on November 12, 2010.

The provider is located at 4625 SAPA CT SAN JOSE, CA 95136 and the phone number is (408) 693-4882.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Montana, Blue Cross. Please consult your insurance carrier or call the provider to verify.